Cardiac Tumors and Masses

Question 1

What is the most common primary benign tumor?

Answer 1

Myxoma

Question 2

Myxoma

Answer 2

LA, attachment mid atrial septum (pedicle)
RA
Characteristics vary, not homogenous
RX surgery

Question 3

A papillary fibroelastoma is also known as

Answer 3

A papilloma

Question 4

A papilloma most commonly involves what?

Answer 4

Valves

Question 5

What valves are most typically involved in adults? Papillary fibroelastoma

Answer 5

MV and AOV

Question 6

Papillary Fibroelastoma (papilloma)

Answer 6

Usually small <2 cm diameter
Mobile, pedunculated
Frond Shaped
Clinical correlation to differentiate from vegetation

Question 7

Lipoma

Answer 7

Fat cells

LV, RA, IVS typically

Question 8

Lipomatous septum (IAS)

Answer 8

“dumbbell septum”
Bright, dense IAS
Sparring of the fossa ovalis

Question 9

What is the most common benign tumor in children?

Answer 9

Rhabdomyoma

Question 10

Rhabdomyoma

Answer 10

Frequently multiple tumors, LV, RV typically
     -In walls or cavity
Check for obstruction of AV valves
Associated with morality or sudden death
RX;surgery

Question 11

A fibroma most commonly occurs where?

Answer 11

LV wall
Can extend into cavity as enlarges
Can obstuct LV filling

Question 12

A fibroma is most often seen in what age group?

Answer 12

Kids

Question 13

A hemangioma most often occurs on what side?

Answer 13

Any chamber, often right side

Question 14

Which type of primary benign tumor is often small and may contain lakes or channels?

Answer 14

Hemangioma

Question 15

Wich type of primary benign tumor is vascular?

Answer 15

Hemangioma

Question 16

Which type of primary benign tumor contains all 3 germ cell layers?

Answer 16

Teratoma
Often contains various cells
Skeletal
Nerve
Connective tissues
post-op finding of these

Question 17

Where does a teratoma typically occur?

Answer 17

RA, RV, IVS typical

Question 18

Which primary malignant tumor is a soft tissue tumor of blood vessels?

Answer 18

Angiosarcoma

Question 19

What is the most common primary malignant tumor?

Answer 19

Angiosarcome

Question 20

Which primary malignant tumor occurs more often in males than females?

Answer 20

Angiosarcoma

Question 21

Angiosarcoma

Answer 21

Primary Malignant
80% RA (face, head, liver, chest, heart)
Can rupture into pericardium&raquo_space;»>tamponade
Can consume chamber cavity, compress, obstruct

Question 22

What is the second most common primary malignant tumor?

Answer 22

Rhadomyosarcoma

Often found in younger patients

Question 23

Rhabdomyosarcoma

Answer 23

Primary malignant
Multiple lesions, multiple locations
Invades tissues adjacent to original site
Mets to liver, lungs, skeleton
Echodense, irregular borders

Question 24

Where does a fibrosarcoma typically occur?

Answer 24

RV, LV typically

Question 25

Which primary malignant tumor has a "fish flesh appearance"?

Answer 25

Fibrosarcoma

Question 26

Fibrosarcoma

Answer 26

Often protrude into cavity;obstruction | May invade vena cava, pulm veins, pericardium

Question 27

Secondary tumors are _____ common than primary.

Answer 27

Far more

Question 28

Most secondary tumors involve _______, ______, ______.

Answer 28

Pericardium, epicardium, and myocardium

Question 29

Secondary Tumors

Answer 29

Metastatic Most involve pericardium, epicardium, and myocardium -Direct invasion -Propagation through blood, venous system -Through Lymph system External compression of heart( adjacent areas) pericardial effusion.

Question 30

Melanoma

Answer 30

Secondary Tumor | Mets to pericardium, myocardium

Question 31

What is the cause of most secondary cardiac tumors?

Answer 31

Lung and Breast Cancer

Question 32

Which secondary tumor is associated with AIDS?

Answer 32

Lymphoma

Question 33

Renal cell carcinoma

Answer 33

Finger-like tumor seen extending from IVC Possibly into RA Often can be traced back to the kidney

Question 34

What are some normal variants that might present as a false positive for a cardiac mass?

Answer 34

``` False tendons Moderator Band Pacemaker leads Catheters Chiari Network Eustachian, thesbian valves Trabeculations, pectinante, muscle bundles, Lambl's Suture lines, transplant ```

Question 35

Primary cardiac tumors are ______

Answer 35

rare

Question 36

List the primary benign tumors

Answer 36

``` Myxoma Papillary Fibroelastoma Lipoma Rhabdomyoma Fibroma Hemangioma Teratoma ```

Question 37

List the primary malignant tumors

Answer 37

``` Angiosarcoma Rhabdomyosarcoma Lymphoma Melanoma Mesothelioma Fibrosarcoma ```